Provider Demographics
NPI:1720070949
Name:BARR, CAREY L (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:L
Last Name:BARR
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:
Practice Address - Street 1:1707 GROVE ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3517
Practice Address - Country:US
Practice Address - Phone:931-492-6128
Practice Address - Fax:931-388-0105
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101965363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1510936Medicaid
P27466Medicare UPIN
TN3901151Medicare ID - Type UnspecifiedMEDICARE, CIGNA, PART B